Abstract
Hemostasis has been a key issue from the beginning of laparoscopic general surgery. Precise visualization can only be attained during laparoscopy in a bloodless field. Hemostasis must be attained at the first attempt, because the limitations of access and a small visual field make a second chance much more risky. Prevention of bleeding requires the timely and appropriate use of technology, much of it newly modified for the laparoscopic approach. In this section we present a variety of major hemostatic modalities that can be used during laparoscopic surgery. Monopolar electrosurgery will be emphasized because it is employed during most operations. A practical section on the laparoscopic control of active bleeding is included.
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Airan MC, Ko ST. Electrosurgery techniques of cutting and coagulation. In: Principles of Laparoscopic Surgery. Arregui ME, Fitzgibbons RJ Jr, Katkhouda N, McKernan JB, Reich H (eds.). New York: Springer-Verlag, 1995; pp. 30–35.
Hunter JG. Laser or electrocautery for laparoscopic cholecystectomy. Am J Surg 1991;161:345–349.
Hunter JG, Trus TL. Lasers and argon beam in endoscopic surgery. In: Endosurgery. Toouli J, Gossot D, Hunter JG (eds.) New York: Churchill Livingstone, 1996, pp. 103–109.
Melzer A. Endoscopic instruments—conventional and intelligent. In: Endosurgery. Toouli J, Gossot D, Hunter JG (eds.) New York: Churchill Livingstone, 1996, pp. 69–95.
Tucker RD, Voyles CR. Laparoscopic electrosurgical complications and their prevention. AORN J 1995;62:51–71.
Voyles CR. Education and engineering solutions for potential problems with laparoscopic monopolar electrosurgery. Am J Surg 1992;164:57–62.
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© 1999 Society of American Gastrointestinal Endoscopic Surgeons
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Newman, R.M., Traverso, L.W. (1999). Principles of Laparoscopic Hemostasis. In: Scott-Conner, C.E.H. (eds) The SAGES Manual. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-88454-2_8
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DOI: https://doi.org/10.1007/978-3-642-88454-2_8
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-66330-0
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